Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Drinking Pattern and Nonfatal Injuries of Adults in Korea

성인에서 AUDIT와 손상의 연관성

  • Yoo, In-Sook (The Graduate School of Dankook University) ;
  • Choi, Eun-Mi (Dept. of Healthcare Management, Kwandong University) ;
  • Kwon, Ho-Jang (Department of Preventive Medicine, Dankook University College of Medicine) ;
  • Lee, Sang-Gyu (Department of Preventive Medicine, Dankook University College of Medicine)
  • 유인숙 (단국대학교 일반대학원 보건학과) ;
  • 최은미 (관동대학교 의료경영학과) ;
  • 권호장 (단국대학교 의과대학 예방의학교실) ;
  • 이상규 (단국대학교 의과대학 예방의학교실)
  • Received : 2012.03.19
  • Accepted : 2012.04.12
  • Published : 2012.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

As alcohol use is one of the most important risk factors for injuries, this study was intended to clarify and evaluate any relationship between drinking patterns and the incidence rates/specific characteristics of injuries in adult populations, using a widely accepted tool, the Alcohol Use Disorders Identification Test (chronic alcohol drinking behaviors measurement, hereinafter the AUDIT) developed by the World Health Organization to help to assess the behaviors in a more accurate and reliable manner. This study used the data collected from the 2009 Korea National Health and Nutrition Examination Survey (KNHANES), in which 7,511 of 7,893 adult participants aged ${\geq}19$ years answered the questions about injuries, and excluding 104 non-respondents, 6,258 of participants in the questionnaire survey of drinking patterns were finally analyzed. The incidence rates and specific characteristics of injuries as classified by the AUDIT categories (i.e., body regions, types and mechanisms) were assessed and estimated in terms of their relative risk using t-test, ANOVA, and logistic regression. SPSS 19.0 statistical package software was employed for statistical analyses. These analyses indicate that the incidence rates of overall injuries were significantly higher in male respondents than in female respondents. The risks of alcohol use related injuries were 8.3 times higher in male respondents than in female ones. Regarding educational background, high school graduates showed the highest rates in the AUDIT with significant difference from the other groups. The married group and the group of respondents having monthly income estimated at KRW 2.01 to 3 million also showed the highest rates in the AUDIT compared to the other groups, indicating statistically significant difference. Significantly increased in problematic drinkers and those with alcohol dependence, the incidence rate of injuries body regions was 0.0371 in the head/neck, and with respect to the AUDIT and the mechanisms of external causes of injuries, transport accidents ranked first, followed by slippage, others, crash and fall. In regard to the classified types of injuries, it was statistically significant in others (e.g., laceration, contusion, addiction, or penetrating wound). In conclusion, the mechanisms of external causes of injuries as well as injuries attributed to alcohol use are very important, and a strategy is required to reduce such the injuries in the manner of decreasing the frequency of drinking after motivation by professional counsellors.

음주는 손상의 가장 위험 요인으로 정확한 평가를 위하여 세계보건기구에서 개발한 Alcohol Use Disorders Identification Test (만성음주행태측정 이하 AUDIT)와 같은 도구를 이용하여 성인에서의 음주행태와 손상 발생률 및 손상 세부 특성과의 연관성을 평가하고자 실시 하였다. 본 연구는 2009년도 국민건강영양조사를 이용하였으며 성인 만 19세 이상 성인 중 7,893명이 참여하여 손상에 응답한 7,511명, 그 중 음주행태조사 참여는 6,6362명 설문에 무응답 104명을 제외 최종 6,258명 연구 대상으로 분석하였다. AUDIT범주에 따른 손상 발생률 및 세부특성 즉 신체부위, 유형, 기전별 손상 발생율의 비교위험도를 T-test, ANOVA, Logistic regression 이용하여 산출하였다. 통계분석은 SPSS 19.0 통계프로그램을 사용하였다. 분석결과 체전손상에서 남자가 손상의 발생이 유의하게 높았다. 음주 관련 손상의 경우에서 남자가 여자에 비해 손상의 발생 위험이 8.3배 높았다. 교육은 고등학교 졸업자가 AUDIT이 가장 높은 비율을 보여 유의하였으며, 결혼한 사람과 월소득이 201-300만원인 사람들이 AUDIT가 가장 높게 나타났으며 유의하였다. 문제음주자와 알코올의존자에서 의미있게 증가된 신체부위의 손상은 두 경부에서 0.0371로 유의하게 나타났고 AUDIT와 손상외인 기전에서는 운수사고, 미끄러짐, 기타, 부딪힘, 추락의 순으로 나타났으며, 손상의 유형 분류상 기타(열상, 좌상, 중독, 관통상 등)에서 유의하였다. 음주로 인한 손상 및 손상외인의 기전은 매우 중요하며, 상담자를 통한 동기유발 조정이 이루어 지게 되면 음주횟수를 줄여 음주로 인한 손상을 완화시킬 수 있는 장치가 필요하다.

Keywords

References

  1. Schermer CR. Alcohol and injury prevention. J Trauma pp60:443-54.2006. https://doi.org/10.1097/01.ta.0000196934.64887.de
  2. Rivara FP, Jurkovich GJ, Gurney JG, et al. The magnitude of acute and chronic alcohol abuse in trauma patients. Arch Surg. pp. 128:907-12. 1993. https://doi.org/10.1001/archsurg.1993.01420200081015
  3. Cherpitel CJ, Ye Y, Bond J, Rehm J, Poznyak V, Macdonald S, Stafstrom M, Hao W. Multilevel analysis of alcohol related injury among emergency department patients: a cross-national study. Addiction pp. 5;100:1840-50. 2005. https://doi.org/10.1111/j.1360-0443.2005.01257.x
  4. World Health Organization Department of Mental Health and Substance Dependence, The Alcohol Use Disorders Identification Test; guidelines for use in primary care, second edition, pp.1-41. 2001.
  5. Borges G, Cherpitel CJ, Orozco R, Bond J, Ye Y, Macdonald S et al. acute alcohol use and the risk of nonfatal injury in sixteen countries. Addiction pp. 101:993-1002. 2006. https://doi.org/10.1111/j.1360-0443.2006.01462.x
  6. 2009 National Health Statistics, National Health and Nutrition Examination Survey Quaternary 3rd year, Department of Health and Human Services, Centers for Disease Control and Prevention 22-24.
  7. Lee EJ, Kim TY, Kim SC, Park HS, Suh GJ, Shin SD, You EY. Effect of alcohol consumption on the severity of blunt injury. Korean Soc Emerg Med pp. 16:339-45. 2005.
  8. Gentilello LM, Duggan P, Drummond D, Tonnesen A, Degner EE, Fischer RP, et al. Major injury as a unique opportunity to initiate treatment in the alcoholic. Am J Surg pp. 156:558-61. 1988. https://doi.org/10.1016/S0002-9610(88)80553-1
  9. Koelega HS. Alcohol and vigilance performance: a review. Psychopharmacology pp. 118:233-49. 2009
  10. Li G, Keyl PM, Smith GS, Baker SP. Alcohol and injury severity: reappraisal of the continuing controversy. J Trauma pp. 42:562-9. 1997. https://doi.org/10.1097/00005373-199703000-00032
  11. Cherpitel CJ. Drinking patterns and problems and drinking in the event: an analysis of injury by cause among casualty patients. Alcohol Clin Exp Res pp. 20:1130-7. 1996. https://doi.org/10.1111/j.1530-0277.1996.tb01958.x
  12. Lee wonkyung, Kim Yoon. Drinking Pattern and Nonfatal Injuries of Adults in Korea, pp. 22(2) :234-237. 2009.
  13. Maio RF, Waller PF, Blow FC, Hill EM, Singer KM. Alcohol abuse/dependence in motor vehicle crash victims presenting to the emergency department. Acad Emerg Med. pp. 4:256-62. 1997. https://doi.org/10.1111/j.1553-2712.1997.tb03545.x
  14. Soderstrom CA, Smith GS, Dischinger PC. Psychoactive substance use disorders among seriously injured trauma center patients. JAMA. pp. 277:1769-74. 1997. https://doi.org/10.1001/jama.1997.03540460033029
  15. Ames GM, Rebhun LA. Women, alcohol and work: interactions of gender, ethnicity and occupational culture. Soc Sci Med pp. 43:1649-1663.
  16. Brienza RS, Stein MD. Alcohol use disorders in primary care: do gender-specific differences exist? J Gen Intern Med pp. 17: 387-397. 2002.
  17. Zucker RA, Fitzgerald HE, Moses HD. Emergence of alcohol problems and the several alcoholisms: A developmental prospective on etiologic theory and life course trajectory. In: Cicchetti D, Cohen DDJ, editors. Developmental Psychopathology: Vol 2 Risk, Disorder, and Adaptation. New York: Wiley pp. 677-711. 1995.
  18. Fillmore MT, Vogel-Spott M. Response inhibition under alcohol: Effects of cognitive and motivational conflict. J Stud Alcohol pp. 239-246. 2006.
  19. Woo munjundong, muncheolgyu choeseonghyeok hongyunsik, alcohol trauma patients, Journal of Emergency Medicine10(2): 267-274.
  20. Cherpitel CJ, Bond J, Ye Y, Borges G, Macdonald S, Giesbrecht N. A cross-national meta-analysis of alcohol and injury: data from the Emergency Room Collaborative Alcohol Analysis Project (ERCAAP). Addiction pp. 98:1277-86. 2003. https://doi.org/10.1046/j.1360-0443.2003.00459.x
  21. Noincheol, the social costs of alcohol and Policy, Korea Institute for Health and Social Affairs, Health and Social Resources, 9.12. 1997.
  22. Cryer HG, Hiatt JR, Fleming AW, Gruen JP, Sterling J. Continuous use of standard process audit filters has limited value in an established trauma system. J Trauma pp. 41(3): 389-395. 1996. https://doi.org/10.1097/00005373-199609000-00003
  23. Cryer HG, Hiatt JR, Fleming AW, Gruen JP, Sterling J. Continuous use of standard process audit filters has limited value in an established trauma system. J Trauma pp. 41(3): 389-395. 1996. https://doi.org/10.1097/00005373-199609000-00003
  24. Nordqvist C, Holmqvist M, Nilsen P, Bendtsen P,Lindqvist K. Usual drinking patterns and non-fatal injury among patients seeking emergency care. Public Health pp. 120:1064-73.
  25. Gmel G, Bissery A, Gammeter R, Givel JC, Calmes JM, Yersin B, Daeppen JB. Alcohol-attributable injuries in admissions to a swiss emergency room-an analysis of the link between volume of drinking, drinking patterns, and preattendance drinking. Alcohol Clin Exp Res. pp.;30:501-9. 2006. https://doi.org/10.1111/j.1530-0277.2006.00054.x
  26. Choi SH, Moon CK, Mun JD, Lee SW, Hong YS. Alcohol related trauma patients. J Korean Soc Emerg Med pp. 10:266-75. 1999.
  27. Jang SB, Choi HJ, Kim SW, Im TH, Yi HJ. An analysis of the drinking pattern for patients who visited the emergency room for Injuries. Korean Soc Emerg Med pp. 14:314-24. 2003.
  28. Lee EJ, Kim TY, Kim SC, Park HS, Suh GJ, Shin SD, You EY. Effect of alcohol consumption on the severity of blunt injury. Korean Soc Emerg Med pp. 16:339-45.2005.
  29. Lee JS, Kim SD, Lee DK, Lee JS. The incidence ratesand risk factor of mild Injury for two weeks- using Korea National Health and Nutrition Examination Survey 2001. J Prev Med Public Health pp. 41:279-86. 2009.
  30. Park KH, Eun SJ, Lee EJ, Lee CE, Park DY, Han KH, Kim Y, Lee JS. The incidence and patterns of unintentional injuries in daily life in Korea-a nationwide study. J Prev Med Public Health pp. 41:265-71. 2008. https://doi.org/10.3961/jpmph.2008.41.4.265

Cited by

  1. The Injury and its Related Factors in the Elderly Using the Data of 2008 Community Health Survey vol.39, pp.1, 2014, https://doi.org/10.5393/JAMCH.2014.39.1.001